Boulanger, Tyler James

Boulanger, Tyler James is an individual health care provider with primary practice located at 4212 Se Division St , Portland OR 97206-1680. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Boulanger, Tyler James can be contacted via phone (503) 238-0705.

Contact Information

Primary practice address
4212 Se Division St Portland OR 97206-1680
Phone: (503) 238-0705
Fax: (503) 236-7166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1700486586
LBN Legal business name Boulanger, Tyler James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2020
Last updated Aug 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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